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Fresenius Exam Prep- Nursing Exam Questions with 100% Correct Answers 2023 GRADED A+
Typology: Exams
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Additional measures for infection control in medications - correct answer ✅If drawing up multiple medications they must be labled Contraindications for heparin use - correct answer ✅Allergic/sensitivity Actively bleeding Scheduled for surgery Post surgery or dental procedures Patient falls or reports a fall (RN assess for bleeding prior to heparin admin) erythropoietin Stimulating Agents (ESAs) - correct answer ✅Medications for anemia- aids in the development of RBCs for people with CKD in in bone marrow Epogen, Aranesp or Mircera IV Iron Preperations - correct answer ✅Venofer, Ferrlecit Necessary in order for RBC production, iron uptake occurs during development in RBCs. Decreased iron uptake means decreased RBCs Iron Adverse Reactions - correct answer ✅Bleeding, pain at injection site, hypotension, hypersensitivity and itching
Anesthetics cream - correct answer ✅EMLA cream, eases pain of cannulation Use one hour before cannulation Angina treatment - correct answer ✅Oxygen must be applied by nurse as it is a medication If oxygen does not relieve pain then think myocardial infarction and follow EMS protocol Nitro can cause hypotension Anti-arrhythmics - correct answer ✅Used to tx a-fib and CHF Digitk, Digox, Digoxin Used to improve the strength and efficiency of the heart or to control rate and rhythm Common anti-biotics given - correct answer ✅cefazolin, Vancomycin Antibiotic considerations - correct answer ✅Allergies, Rapid bolus causes hypotension, ototoxicity. Give over an hour. Some Abx are water soluable and must be given post tx. Anticoagulant drugs - correct answer ✅Heparin, sodium citrate, coumadin/Warfarin Heparin - correct answer ✅Anti-platelet that prevents clot formation. May cause increased bleeding time post tx or increased bruising
May cause HIT (Heparin-Induced-Thrombocytopenia) sodium citrate - correct answer ✅Used in patients with sensitivity to heparin or when HIT occurs May cause: hypocalcemia, tetany, N/V ro diarrhea. Must monitor Ca levels Benedryl - correct answer ✅Used for patients with itching d/t high phosphorus levels or uremic toxins from inadequate dialysis Supplement that decreases clotting - correct answer ✅Gingko Biloba, may interfere with medications Vitamin B, C and multivitamins - correct answer ✅Water soluable vitamins, may be needed d/t dialysis ridding the body of fluid. Must be taken post dialysis Renal Vitamins - correct answer ✅contain B1,B2, B6, B12. B12 - correct answer ✅Needed for anemia management. Lack can lead to pernicious anemia Vitamin D - correct answer ✅Needed because pts with renal failure lack the ability to concert Vitamin D to the active form. Must monitor calcium levels carefully (Vitamin D and phosphate binders can cause hypercalcemia)
IV: Hecterol, Calcitrol PO: Phos-lo, Sensipar, Renagel Inadequate Dialysis d/t low BFR in caths...TRY: - correct answer ✅Cathflo- per policy and physician order Lower pt's head, have pt cough or change positions Reverse lines for treatment for one treatment Schedule CVC for removal asap Causes of AKI: Pre-renal - correct answer ✅Hypovolemia, hypotension, decreased CO, dehydration, septic shock, blood loss due to trauma Causes of AKI: intrinsic - correct answer ✅Glomerulonephritis Ischemic Acute Tubular Necrosis Causes of AKI: post renal - correct answer ✅Obstructions post kidney Kidney stones Tumor blockages Catheter complications - correct answer ✅Air Embolism infection poor blood flow exit site bleeding or dislodgement
Air Embolism Prevention - correct answer ✅Caps and clamps, HemaClip Do not use cath that has a tear, Clamp lines Off blood pump Left side Trandelenberg If poor blood flow.. - correct answer ✅Ask pt to cough or reposition. May need to reverse lines Cath dislodgement or bleeding interventions - correct answer ✅Apply pressure, cover with gauze, lay on floor and notify MD. If you can see the cuff, don't use it has been dislodged Poor clearances (yellow lights) - correct answer ✅Constantly high arterial pressures Clotting in dialyzer Poor BFR, frequent alarms causing for shortened tx times